<?php echo form_open($this->curl . '/create/'.$id_user, 'id="myform" name="myform" autocomplete="off"')?>
<?php echo form_hidden('id_user', $id_user)?>
<br />
<table class="nostyle" width="100%" border="0" cellpadding="0" cellspacing="0">
<tr>
	<td>
		<?php echo $this->validation->error_string?>
		<table class="nostyle forma" width="100%" border="0" cellpadding="3" cellspacing="0">
		<tr>
			<th><?php $this->load->view('_elements/obligatory');?><?php echo $this->credit_cards_model->fields['card_type']?></th>
			<td>
				<div class="input_300">
					<?php echo form_dropdown('card_type', $this->config->item('credit_cards'), array($this->validation->card_type), null, TRUE)?>
				</div>
			</td>
		</tr>
		<tr>
			<th></th>
			<td>
				<div style="padding:1px 0 2px 0"><img src="/img/ico-info.gif" width="16" height="16" style="vertical-align:bottom" /><a target="_blank" href="/site/content/help"><?php echo T_('Don\'t see your card type?'); ?></a></div>
			</td>
		</tr>
		<tr>
			<th><?php $this->load->view('_elements/obligatory');?><?php echo $this->credit_cards_model->fields['card_number']?></th>
			<td><div class="input_300"><?php echo form_input('card_number', $this->validation->card_number, 'class="input-text"')?></div></td>
		</tr>
		<tr>
			<th><?php $this->load->view('_elements/obligatory');?><?php echo T_('Expiration Date'); ?></th>
			<td>
				<div class="input_120" style="float: left;margin-right:10px">
					<?php echo form_dropdown('month_expired', $this->config->item('months'), array($this->input->post('month_expired')), null, FALSE)?>
				</div>
				<div class="input_80" style="float: left">
					<?php 
						$year_expired[0] = 'Year';
						$y = date('Y');
						for($i=$y+10; $i>=$y; $i--)
						{
							$year_expired[$i] = $i;
						}
					?>
					<?php echo form_dropdown('year_expired', $year_expired, array($this->input->post('year_expired')), null, FALSE)?>
				</div>
			</td>
		</tr>
		<tr>
			<th><?php $this->load->view('_elements/obligatory');?><?php echo $this->credit_cards_model->fields['card_id_number']?></th>
			<td>
				<div class="input_120" style="float: left;margin-right:10px"><?php echo form_input('card_id_number', $this->validation->card_id_number, 'class="input-text"')?></div>
				<div style="float: left;padding-top:4px"><img src="/img/ico-info.gif" width="16" height="16" style="vertical-align:bottom" /><a target="_blank" href="/site/content/help"><?php echo T_('What\'s this?'); ?></a></div>
			</td>
		</tr>
		<tr>
			<th></th>
			<td>
				<strong><?php echo T_('Cardholder name'); ?></strong><?php echo T_('(as it appears on the card)'); ?><br />
				<table cellspacing="0" cellpadding="3" border="0" width="200" class="nostyle" id="points">
				<thead>
				<tr>
					<th><?php $this->load->view('_elements/obligatory');?><?php echo $this->credit_cards_model->fields['first_name'];?></th>
					<th><?php $this->load->view('_elements/obligatory');?><?php echo $this->credit_cards_model->fields['last_name'];?></th>
				</tr>
				</thead>
				<tbody>
				<tr>
					<td><div class="input_120"><?php echo form_input('first_name', $this->validation->first_name, 'class="input-text"')?></div></td>
					<td><div class="input_120"><?php echo form_input('last_name', $this->validation->last_name, 'class="input-text"')?></div></td>
				</tr>
				</tbody>
				</table>
			</td>
		</tr>
		<tr>
			<th><?php echo $this->credit_cards_model->fields['is_default_card']?></th>
			<td><?php echo form_checkbox('is_default_card', 1, ($this->input->post('is_default_card')) ? TRUE : FALSE, 'class="checkbox"')?></td>
		</tr>
		<tr>
			<td colspan="2">&nbsp;</td>
		</tr>
		<tr>
			<td></td>
			<td>			
				<input name="edit" type="submit" class="btn btn_save" id="submit" value="<?php echo T_('Submit')?>" />
				<input name="reset"  type="reset"  class="btn btn_clear" id="reset" value="<?php echo T_('Reset')?>" onclick="$('#create_form input[type=text]').val('');" />
			</td>
		</tr>
		</table>
	</td>
</tr>
</table>

<?php echo form_close()?>